| NPI | 1699783332 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: GA 002563) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: IL 046009820) |
| Enumeration Date | 2006-08-04 |
| Last Update Date | 2016-10-06 |